ATI RN
Classes of Psychotropic Medications Questions
Question 1 of 5
A patient has symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should prepare to teach the patient about a medication from which group?
Correct Answer: D
Rationale: The correct answer is D, Benzodiazepines. In acute anxiety, fast-acting anxiolytics like benzodiazepines are effective in providing immediate relief by enhancing the effects of GABA neurotransmitter, reducing anxiety symptoms quickly. Tricyclic antidepressants (A) are not ideal for acute anxiety due to slow onset of action. Atypical antipsychotics (B) are not first-line treatment for anxiety. Anticonvulsants (C) are not typically used for acute anxiety.
Question 2 of 5
A patient tells the nurse, “I’ve been having problems getting a good night’s sleep. I read some information on the Internet and started taking kava kava.” Select the nurse’s priority response.
Correct Answer: B
Rationale: The correct answer is B. The FDA warning against using kava kava due to potential liver damage makes it the priority response. Firstly, addressing the potential harm from kava kava ensures patient safety. Secondly, it emphasizes the importance of consulting healthcare professionals for reliable information. Choice A lacks specificity and may not address the seriousness of the situation. Choice C introduces a new treatment without addressing the current issue. Choice D makes assumptions about the patient's condition without proper assessment, potentially leading to overlooking serious health risks.
Question 3 of 5
A patient tells the nurse, "I get sick so much, so I started taking ginseng to boost my immune system.” The patient’s only other medication is warfarin daily. Which potential complication should be included in the nursing assessment?
Correct Answer: B
Rationale: The correct answer is B: Spontaneous bleeding. Ginseng can interact with warfarin, increasing the risk of bleeding due to its anticoagulant properties. The rationale: Ginseng can potentiate the effects of warfarin, leading to an increased risk of bleeding. This interaction is a significant concern for patients on anticoagulant therapy like warfarin. Gastrointestinal distress (choice A) and drowsiness (choice D) are not common interactions with ginseng. Thromboembolism (choice C) is less likely as ginseng's anticoagulant properties would tend to increase bleeding risk rather than promote clot formation.
Question 4 of 5
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
Correct Answer: A
Rationale: The correct answer is A: Fish oil. Fish oil contains omega-3 fatty acids that can increase the risk of bleeding when taken with warfarin, an anticoagulant. This combination can lead to excessive bleeding. Black cohosh, lavender, and mandarin do not have known interactions with warfarin. It is essential for the nurse to caution the patient to avoid fish oil to prevent potential complications.
Question 5 of 5
A patient in good health and without any major health needs says, "I want to try some techniques to improve my mental and physical well-being but I’m overwhelmed by all the suggestions on the Internet.” Which techniques would be appropriate for the nurse to suggest? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Yoga. Yoga is suitable for improving both mental and physical well-being. It incorporates physical postures, breathing exercises, and meditation, promoting relaxation and stress reduction. Other choices can also have benefits but may not address both mental and physical aspects comprehensively. Exercise (B) is beneficial mainly for physical health. Meditation (C) is effective for mental well-being but may not cover physical aspects. Aromatherapy (D) focuses on mental well-being through scents, but it may not address physical well-being directly. Therefore, suggesting yoga covers both mental and physical well-being, making it the appropriate choice.